"The new and complete Medicaid provider rate fee schedule has just been released for dates of service effective July 1, 2016.
Medicaid reimbursed these codes at a Medicare equivalent rate to comply with Section 1202 of the Affordable Care Act (ACA) for Calendar Year 2013 and Calendar Year 2014 and temporarily extended the Medicare equivalent rate through June 2016.
Effective July 1, 2016, evaluation & management (E&M) and vaccine administration services will be reimbursed at the December 2012 level, except as noted below. From July 1, 2016 through June 30, 2017, through the efforts of HCPF and provider associations, one year of additional funding is authorized to reimburse important E&M code categories and vaccine administration codes at somewhat higher rates.
Medicaid reimbursed these codes at a Medicare equivalent rate to comply with Section 1202 of the Affordable Care Act (ACA) for Calendar Year 2013 and Calendar Year 2014 and temporarily extended the Medicare equivalent rate through June 2016.
Effective July 1, 2016, evaluation & management (E&M) and vaccine administration services will be reimbursed at the December 2012 level, except as noted below. From July 1, 2016 through June 30, 2017, through the efforts of HCPF and provider associations, one year of additional funding is authorized to reimburse important E&M code categories and vaccine administration codes at somewhat higher rates.
Click here for common Medicaid July 2016 codes for Pediatrics.
Click here for the entire Medicaid July 2016 fee schedule.
The E&M categories with temporary funding are standard office visits, preventive care office visits, newborn visits, neonatal and pediatric critical care visits, and counseling visits. These rates are scheduled to return to the December 2012 level on July 1, 2017."
The E&M categories with temporary funding are standard office visits, preventive care office visits, newborn visits, neonatal and pediatric critical care visits, and counseling visits. These rates are scheduled to return to the December 2012 level on July 1, 2017."
Check out the CCHAP newsletter for more information on:
- Next CCHAP Practice Manager Meeting
- New Vaccine Resources Available
- SIM Cohort 2 Information
[Source: CCHAP]
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